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Nov 20, 2013
11/13
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the witness for the first panel is henry chow, chief information officer at the centers for medicare, medicaid services, thank you for testifying today, and i can only imagine how stressful the last few months have been for you. welcome here. i hope you appreciate the fact that hhs has a ways to go to retain the trust of the american people on this website. they were promised a functioning website as easy as buying a tv on amazon, and what they got was a train wreck. the reason the trust of the american people is difficult to regain is because every day new revelations show this wreak was foreseeable. last week, there's e-mails uncovered showing as early as july of this year, mr. chow, the first witness, was worried the company primarily responsible for building the website, cgi would, quote, crash on takeoff, unquote. materials as early as march to april of this year, top administration officials were well aware that healthcare.gov was far off schedule and testing of the website would be limited. we have also learnedded that healthcare.gov was only launched after the ad min straiter
the witness for the first panel is henry chow, chief information officer at the centers for medicare, medicaid services, thank you for testifying today, and i can only imagine how stressful the last few months have been for you. welcome here. i hope you appreciate the fact that hhs has a ways to go to retain the trust of the american people on this website. they were promised a functioning website as easy as buying a tv on amazon, and what they got was a train wreck. the reason the trust of the...
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Nov 17, 2013
11/13
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i mean, he didn't go be for medicare. i mean, he stretched what was possible, right? he went for the moon. but for the tax cut, he really, he tried to find stuff with congress. it's a different situation, right? the democrats controlled both houses of congress during the kennedy administration. some of them were conservative democrats who were not too kindly disposed towards some of the things that kennedy was trying to do. so i think, you know, focus on what's possible, stick to your principles and look for, look for things that can be a win/win, you know? like the free trade and the tax cut and the military spending. i mean, all that stuff there was broad, there was pretty broad support for that sometimes cut across party lines or ideological lines. so, i mean, growth is a great example, right? who's against growth? maybe some hard core environmentalist, but -- [laughter] but, you know, or winning against the soviet union. who was against that? so kennedy managed to -- and i think all successful politicians -- managed to find what, i think frank luntz would call the
i mean, he didn't go be for medicare. i mean, he stretched what was possible, right? he went for the moon. but for the tax cut, he really, he tried to find stuff with congress. it's a different situation, right? the democrats controlled both houses of congress during the kennedy administration. some of them were conservative democrats who were not too kindly disposed towards some of the things that kennedy was trying to do. so i think, you know, focus on what's possible, stick to your...
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Nov 14, 2013
11/13
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and medicare part-b -- medicare beneficiaries. in florida we have a significant number of people that are medicare beneficiaries and medicare advantage. my mom is a medicare advantage patient. i wanted to read briefly if i could a letter i received from a constituent of mine named michelle hatly who lives in destine, florida, which is in northwest florida. it is a letter she received regarding her existing doctors. she also got a letter from one of her providers that talks about the changes. let me read you the e-mail. she sent this. here's a copy of the letter i received from white wilson medical group. as i indicated in our conversation, sacred heart might be also affected. my medicare advantage plan was the medicare completeer thrup aarp and united healthcare. three of my doctors are with white wilson and three are with sacred heart. my rheumatologist who directs my treatment for two autoimmune conditions is with sacred heart and the only rheumatologist in destine. i'm legally blind so transport to another doctor out of town is
and medicare part-b -- medicare beneficiaries. in florida we have a significant number of people that are medicare beneficiaries and medicare advantage. my mom is a medicare advantage patient. i wanted to read briefly if i could a letter i received from a constituent of mine named michelle hatly who lives in destine, florida, which is in northwest florida. it is a letter she received regarding her existing doctors. she also got a letter from one of her providers that talks about the changes....
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Nov 16, 2013
11/13
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for example, in the medicare program we spent $1 out of $3 on people who have diabetes. yet our reimbursement system doesn't incentivize a physician officers to check on their patients with diabetes. we could -- there's so much we can could do on medical liability reform. and every study shows would save money. what are you going tell him? >> first of all, we've had many discussions thon with the president. and just to get at susan's point here. one of my main argument on delivery system reform. when you look at the fact we've actually seen the slowest increase rate in decades the health care costs. their numbers are out there in the last two years. because a lot of hospital and doctors are starting to respond to look at delivery health care in a more cost efficient way. that's why many of us think -- we have to keep in the good part of the bill. and to allow just to pull back on the exchanges now, when people finally have this opportunity to get a dependenting on what their options are for plans. repealing the whole bill. >> there was a big mistake in the first place we
for example, in the medicare program we spent $1 out of $3 on people who have diabetes. yet our reimbursement system doesn't incentivize a physician officers to check on their patients with diabetes. we could -- there's so much we can could do on medical liability reform. and every study shows would save money. what are you going tell him? >> first of all, we've had many discussions thon with the president. and just to get at susan's point here. one of my main argument on delivery system...
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Nov 6, 2013
11/13
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unfortunately, five million people living in states that did not expand medicare eligibility will be left out in the cold. five million. it's shameful americans who simply want access to lifesaving medical care will be denied insurance for political reasons. now there's no better example of that, madam president, than texas. they have far more people who are eligible for medicaid coverage who won't get it. that's unfortunate. we know that healthcare.gov is not perfect. i know that obamacare is not perfect. but obamacare is worth more than a web site, and whenever republicans are willing to stop complaining and start working to improve the law, democrats are ready and willing to work with them. mr. mcconnell: madam president? the presiding officer: the republican leader. mr. mcconnell: nearly every day we see evidence of more americans losing their health coverage. just take a look at this map right here to my right. 105,000 losing their coverage in idaho. 215,000 in pennsylvania. 330,000 in florida. out in california, it's getting close to a million. all of these people have lost --
unfortunately, five million people living in states that did not expand medicare eligibility will be left out in the cold. five million. it's shameful americans who simply want access to lifesaving medical care will be denied insurance for political reasons. now there's no better example of that, madam president, than texas. they have far more people who are eligible for medicaid coverage who won't get it. that's unfortunate. we know that healthcare.gov is not perfect. i know that obamacare is...
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Nov 6, 2013
11/13
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really protect medicare, not protect it by privatizing it. and it really matters why we protect social security and not strengthen, quote, unquote, the program by cutting the benefits. that's why our work matters. that's why it's so important that we pass the harkin-begic harkin-begich-hirono-schatz-bron bill. mr. president, i yield the floor to the senator. a senator: mr. president? the presiding officer: the senator from new hampshire. mrs. shaheen: mr. president, i ask consent that the period for morning business be until 7:00 p.m. for debate only. the presiding officer: without objection. mrs. shaheen: thank you. mr. president, almost 50 years ago, congress passed the civil rights act. this landmark legislation prohibited discrimination on the basis of race, ethnicity, religion and gender in employment, housing and public accommodations. many of us in the senate remember the passage of that legislation and many of us, unfortunately, saw firsthand the painful examples of legally sanctioned discrimination that existed before the civil right
really protect medicare, not protect it by privatizing it. and it really matters why we protect social security and not strengthen, quote, unquote, the program by cutting the benefits. that's why our work matters. that's why it's so important that we pass the harkin-begic harkin-begich-hirono-schatz-bron bill. mr. president, i yield the floor to the senator. a senator: mr. president? the presiding officer: the senator from new hampshire. mrs. shaheen: mr. president, i ask consent that the...
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Nov 4, 2013
11/13
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for what it costs the government to supply medicare. what are the costs of government to supply medicare if you take the medicaid budget and divided by the number of people it is about $802 a month. that is a huge amount of money. if we put medicare on the exchanges and let people buy into it we could give people the same subsidy. it's sort of already set up to do that, and that would be a way of letting the private insurance companies who believe that the government is an efficient to compete and we will see what happens, so that is how i sort of settled at the conundrum in my own head. i think it would be a good thing to do. >> how do you feel your book will affect the medical world like everywhere across the world now? >> well, there is a whole percolating thing happening and it's not just in medicine because one of the things about my book is it's not just about medicine that people recognize it is about style. whether we are teachers or lawyers or how we live and what is a value to us. you don't need very much to be happy and once
for what it costs the government to supply medicare. what are the costs of government to supply medicare if you take the medicaid budget and divided by the number of people it is about $802 a month. that is a huge amount of money. if we put medicare on the exchanges and let people buy into it we could give people the same subsidy. it's sort of already set up to do that, and that would be a way of letting the private insurance companies who believe that the government is an efficient to compete...
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Nov 14, 2013
11/13
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and medicare beneficiaries. obviously, being from florida we have a significant firm of medicare beneficiaries, and in particular medicare advantage which is the only program where seniors get to choose the type of coverage they want, things of that nature. my mom's a medicare advantage patient. so i wanted to read briefly if i could a letter i received from a constituent in destin, florida, which is in northwest florida, and it's a letter she received regarding her existing doctor. she also got a letter from her, one of her providers that talks about the changes that are happening. let me read you the e-mail. she sent this. here's a copy of the letter i received from white wilson medical group. sacred heart might be also affected. my medicare advantage plan was the medicare completer through aarp and united health care. i have multibe billion chronic -- multiple chronic conditions. three of my doctors are with white wilson and three are with sacred heart. my rheumatologist who directs my treatment including rhe
and medicare beneficiaries. obviously, being from florida we have a significant firm of medicare beneficiaries, and in particular medicare advantage which is the only program where seniors get to choose the type of coverage they want, things of that nature. my mom's a medicare advantage patient. so i wanted to read briefly if i could a letter i received from a constituent in destin, florida, which is in northwest florida, and it's a letter she received regarding her existing doctor. she also...
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Nov 18, 2013
11/13
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and remember, the other piece of that where the funding comes from is out of medicare. and so you still have this element of seniors, especially in some of the rural districts where medicare advantage actually played a major role in being able to keep your provider because of the reimbursement rate issues that are cognizant that that may be a problem. so you've got this they took money out of medicare to put into medicaid, that's an issue. our members are very capable and competent at talking about alternatives that we would offer for a patient-centered health care delivery system. but it doesn't do us much good to put, you know, that up on the floor in a comprehensive way when you know that, i mean, let's be honest, the senate's not going to take it up, the president's not going to go along with that. so when one party passes something exclusively, denies the other party the ability to even offer a single amendment on the house floor which occurred, then they own it and embrace it. and they've owned it and embraced it and overpromised and underdelivered, and it is, it'
and remember, the other piece of that where the funding comes from is out of medicare. and so you still have this element of seniors, especially in some of the rural districts where medicare advantage actually played a major role in being able to keep your provider because of the reimbursement rate issues that are cognizant that that may be a problem. so you've got this they took money out of medicare to put into medicaid, that's an issue. our members are very capable and competent at talking...
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Nov 20, 2013
11/13
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it was expanded to the point where in the 1960's where we added medicare and medicaid, we expanded the role of government. in 2011 for the first time there was more government insurance and private insurance. 50 today. about 50- the real question is what should the role of government be going forward. we decided we should expand the role and medicaid of those cases where people just don't have the resources to buy health insurance and we created new private marketplaces with private insurance for people to choose on the marketplace in those cases were medicaid is not necessary. that is the balance that the american people have interesting towards for some time. interestingly, the president chose to use one of the most conservative think tank approaches, heritage foundation, to create the model in the first place and i think that balance is something that we will continue to try to resolve as we go forward. host: "the washington post" highlights the recent poll looking at the president's popularity. 42% is where it stands. what does it mean for an agenda going forward? guest: the polls
it was expanded to the point where in the 1960's where we added medicare and medicaid, we expanded the role of government. in 2011 for the first time there was more government insurance and private insurance. 50 today. about 50- the real question is what should the role of government be going forward. we decided we should expand the role and medicaid of those cases where people just don't have the resources to buy health insurance and we created new private marketplaces with private insurance...
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Nov 15, 2013
11/13
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let's look at what happened when medicare came to the senate floor, medicare, one of the most select programs. 60 percent of republicans in the senate and 60% of house republicans voted against medicare in 1965. representative tour were all, republicans said we cannot stand idly by as the nation is urged to embark on an ill-conceived adventure in government, the end of which no one can see and for which the patient is certain to be the sufferer. this is typical of republicans through the generation. every time we strive to expand health care, opposed and opposed and tried to a derailment. senator simpson, republican of wyoming, i am disturbed about the effect this legislation would have upon our economy and upon our private insurance system. that is what they said about medicare. and they read. pour stories about it. now, here is what the republicans are saying. they're saying that there is problem with the health care law that needs to be fixed, which is people who want to keep the substance it plans ravage will keeping their substandard plan. president obama has already said he wil
let's look at what happened when medicare came to the senate floor, medicare, one of the most select programs. 60 percent of republicans in the senate and 60% of house republicans voted against medicare in 1965. representative tour were all, republicans said we cannot stand idly by as the nation is urged to embark on an ill-conceived adventure in government, the end of which no one can see and for which the patient is certain to be the sufferer. this is typical of republicans through the...
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Nov 15, 2013
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and let's talk about medicare 50% of house republicans in 1965. we cannot stand by with an ill-conceived adventure in government. the end of which no one can see and from which the patient is certain to be that supper. this is typical of republicans through the generation every time we have tried to expand health care. they have opposed it and they have tried to derail it. this includes a republican because i understand about effective legislation and what it has on our economy and our private insurance system and that is what they have said about medicare. and they read horror stories about it. and this is what the republicans are saying. and this includes the health care law, which is that people who want to keep a substandard plan are having trouble keeping their substandard plan. president obama said he's going to fix that. and we will fix it. but that is not good enough for the republican friends. they just want to tear this down, just like they wanted to tear down medicare. and they wanted to tear down more recently as well. so this is ancie
and let's talk about medicare 50% of house republicans in 1965. we cannot stand by with an ill-conceived adventure in government. the end of which no one can see and from which the patient is certain to be that supper. this is typical of republicans through the generation every time we have tried to expand health care. they have opposed it and they have tried to derail it. this includes a republican because i understand about effective legislation and what it has on our economy and our private...
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Nov 6, 2013
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barbara in merrimack wrote me, and her husband -- she and her husband don't yet qualify for medicare. their existing plan is being phased out, so she checked the exchange and she wrote the product that was closest to what we currently have is silver and is just too expensive. the cheapest coverage we could find is in the bronze category and will cost 1,228.32 per month and will have a deductible of $5,950 per individual and a deductible of $11,900 per family. that means that all basic services and medications will be out of pocket. medications will be covered at 40% of the co-pay, $1,228.32 squalls $14,000, $739.84fer year and is more than my mortgage. unlike the government, i can't raise my debt ceiling. anita in sutton wrote what was supposed to help people like my husband and i who are self-employed -- and he has a chronic illness -- only hurts us. our premiums went up $2.287.70 per month, and this is now with a $4,000 single, $8,000 family deductible, nothing like a 30% increase for one year. having to hoist yourself up each day and go to work and try to carry on is hard enough wi
barbara in merrimack wrote me, and her husband -- she and her husband don't yet qualify for medicare. their existing plan is being phased out, so she checked the exchange and she wrote the product that was closest to what we currently have is silver and is just too expensive. the cheapest coverage we could find is in the bronze category and will cost 1,228.32 per month and will have a deductible of $5,950 per individual and a deductible of $11,900 per family. that means that all basic services...
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Nov 14, 2013
11/13
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there's no particular reason it outlays for social security and medicare need to be cut back to their historical average share of gdp when a larger fraction of the population is old enough to receive benefits from those programs. however, if those programs are not cut back, then we will need to collect a larger share of gdp in tax revenue relative to our history, or cut back on other federal benefits and services relative to what we have been accustomed to. the third reason for concern about the long-term budget outlook is that current laws underline our baseline projections, include provisions that would restrain deficits in significant ways, but might raise widespread objections as they took full effect. i'll offer two examples, both of which can be seen in the charts i just discussed. first, given the structure of the tax code, revenues would rise above their historical average share of gdp in just a few years and would keep rising. reaching more than 2 percentage points above that historical average by 2038. at the same time, outlays for defense and nondefense discretionary progra
there's no particular reason it outlays for social security and medicare need to be cut back to their historical average share of gdp when a larger fraction of the population is old enough to receive benefits from those programs. however, if those programs are not cut back, then we will need to collect a larger share of gdp in tax revenue relative to our history, or cut back on other federal benefits and services relative to what we have been accustomed to. the third reason for concern about...
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Nov 1, 2013
11/13
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the recent trends in medicare spending growth are really quite remarkable. medicare spending growth is at historically low levels growing by less than .5% in fiscal year 2012 following slow growth in 2010 and 2011. the same is true on the private side of health care. personal consumption expenditures on health care, everything from health insurance to drugs to hospital care rose by just over 1% in the past year. this is the slowest increase in nearly 50 years. madam secretary, what does this data tell us about what has happened to health care costs since the aca became law? >> well, you're absolutely right. in the last 3 1/2 years since the president signed at fordable care act, we have seen a great slowdown in the extraordinary cost increases year in and year out for health care, in the medicare plan and medicaid plan and in private insurance and in underlying health care costs which affect every american. some of that is to do with some of the features that are currently in place around different care delivery and different payment systems that we are help
the recent trends in medicare spending growth are really quite remarkable. medicare spending growth is at historically low levels growing by less than .5% in fiscal year 2012 following slow growth in 2010 and 2011. the same is true on the private side of health care. personal consumption expenditures on health care, everything from health insurance to drugs to hospital care rose by just over 1% in the past year. this is the slowest increase in nearly 50 years. madam secretary, what does this...
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Nov 4, 2013
11/13
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affects medicare in a couple of ways. one of the ways that he may be talking about is that they are slowing down the payments for something called medicare advantage and this is the private market and private insurers offering medicare coverage to the folks that sign up for it as an alternative to the traditional medicare which is fee-for-service. the program is having some slowdown in payment increases because the congress said that today were already paying this more money than they pay for the traditional medicare program and they wanted to bring it alone but closer into alignment. so some insurers with medicare advantage plans are probably raising premiums and doing other things and making some changes as a result of that. >> host: from nick mills zero delaware on the line for folks that have an employer insurance. good morning. >> caller: good morning and thank you for taking my call. a couple of points just a little off track. whether or not president obama malae, i don't believe that that he's being very disingenuo
affects medicare in a couple of ways. one of the ways that he may be talking about is that they are slowing down the payments for something called medicare advantage and this is the private market and private insurers offering medicare coverage to the folks that sign up for it as an alternative to the traditional medicare which is fee-for-service. the program is having some slowdown in payment increases because the congress said that today were already paying this more money than they pay for...
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Nov 20, 2013
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medicare and medicaid will bear about 70% of these costs. by 2050, we will be paying more than $1.2 trillion to care for people with alzheimer's. we also know that it's tough on caregivers. they suffer an emotional and physical toll that results in a higher incidence of chronic conditions themselves. in 2012, more than 15 million family members, spouses, children and friends in the united states provided care to an adult with alzheimer's. the unpaid care is valued at more than $216 billion. so many of the people, friends of mine, who are involved in this care also have their own children. that's why we all them the sandwich generation. they are literally sandwiched in between caring for their aging parents and caring for a child. just as the country addressed the needs of working moms and dads in the 1970's, we must now address the needs of working sons and daughters. this is a critical piece of the puzzle in taking on the alzheimer's challenge. most importantly, our resolution is about the lives that could be improved with better treatments
medicare and medicaid will bear about 70% of these costs. by 2050, we will be paying more than $1.2 trillion to care for people with alzheimer's. we also know that it's tough on caregivers. they suffer an emotional and physical toll that results in a higher incidence of chronic conditions themselves. in 2012, more than 15 million family members, spouses, children and friends in the united states provided care to an adult with alzheimer's. the unpaid care is valued at more than $216 billion. so...
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Nov 6, 2013
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make medicare solvent. the trustees have said that in ten years it won't have enough money to pay hospital bills. i know plenty of tennesseans who are counting on medicare to pay their hospital bills. reform medicare advantage to compete on a level playing field with medicare. that would provide competition, more choices for seniors. the congressional budget office says it would save taxpayers money. make medicaid flexible. when i was goafn o governor of tennessee, medicare was 8% of the budget. today it is 26%. as a result, governors have been told by washington to spend money on medicaid that instead they would rather spend on higher education. make medicaid more flexible. perhaps we can cover more people and set our own priorities. encourage employee wellness incentives. we talk a good game in the senate about that, but the administration's regulation actually limits the ability of employers to say to employees, if you have a healthy lifestyle, your insurance will be cheaper. that insurance provided by t
make medicare solvent. the trustees have said that in ten years it won't have enough money to pay hospital bills. i know plenty of tennesseans who are counting on medicare to pay their hospital bills. reform medicare advantage to compete on a level playing field with medicare. that would provide competition, more choices for seniors. the congressional budget office says it would save taxpayers money. make medicaid flexible. when i was goafn o governor of tennessee, medicare was 8% of the...
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Nov 1, 2013
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they were putting together an additional way to enroll in medicare. i would suggest, sir that, we had deadlines in the law that people had benefits starting january 1st. we wanted a extensive open enrollment period so that a lot of people who were not familiar with insurance didn't know how to choose a doctor or choose a plan had never been in this marketplace or people who needed to understand fully what the law offered had ample time to do that. so the date that i was required to select for open enrollment, that's again part of the statute, how long would open enrollment be? we picked that date. all the contractors that began early in this process in the fall of 2010 when we issued -- i'm sorry, 2011 when we issued the initial contracts to cgi and qssi new the october 1st date. that was not changed. it wasn't added to as we got closer to system, one of the reasons again that we paeared down what needed to launch is an attempt to minimize the risk to the system to get people to their ability to see clearly what they were entitled to, what the plans w
they were putting together an additional way to enroll in medicare. i would suggest, sir that, we had deadlines in the law that people had benefits starting january 1st. we wanted a extensive open enrollment period so that a lot of people who were not familiar with insurance didn't know how to choose a doctor or choose a plan had never been in this marketplace or people who needed to understand fully what the law offered had ample time to do that. so the date that i was required to select for...
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Nov 23, 2013
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medicare, medicare, social security and americans want more benefits of all kinds and they are willing to pay for. you talk about big, bold positive solutions being the answer -- are there big bold positive experiences that come to your experience at the state level for the different probl problems? >> they are different at the federal, state and local but they have the same tenants. the things you value the most would have been cut just as much as the things that don't have a high value. what we did was initiate reform. those were a part of it. and the biggest in the state were most of the school districts had to buy from one company. by pulling back on collective gardening, school districts can bid on health insurance and districts are saving tens of millions. and other changes beyond the fiscal leave are happening. at the federal level, it was more than half of the budget; aid to local government. so anything we did to balance the budget, besides massive cuts, required reforms in those area and same thing at the national level. and those areas you have to in act reform and many of t
medicare, medicare, social security and americans want more benefits of all kinds and they are willing to pay for. you talk about big, bold positive solutions being the answer -- are there big bold positive experiences that come to your experience at the state level for the different probl problems? >> they are different at the federal, state and local but they have the same tenants. the things you value the most would have been cut just as much as the things that don't have a high value....
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Nov 22, 2013
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we end up helping them a lot of times choosing the appropriate medicare part b plan for them. so we're helping on that site also. -- part d. we were surprised how many young families were coming in. host of young families coming in, the children are already on medicaid and the coming in for care for themselves or other family members. so our successes and challenges, so what's working? the system is improving. the awareness level is increasing and good publicity, bad publicity made people aware of this is out there, the marketplace is open. so it's about more people in. most people are surprised when they come at how affordable it is. i think there's a preconceived notion by especially people who have sought some of the high-risk pools are people with chronic illness in the past have been unable to really afford it. but as with the d.c. exchange, there are trees prices and people are really surprised that it is affordable. we are doing a lot of advice in a committee. with a couple of organizations that do free and low-cost tax services, filing services for people of low income
we end up helping them a lot of times choosing the appropriate medicare part b plan for them. so we're helping on that site also. -- part d. we were surprised how many young families were coming in. host of young families coming in, the children are already on medicaid and the coming in for care for themselves or other family members. so our successes and challenges, so what's working? the system is improving. the awareness level is increasing and good publicity, bad publicity made people aware...
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Nov 25, 2013
11/13
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i think i heard that it's going to take off this enrolled people off of medicare and put them
i think i heard that it's going to take off this enrolled people off of medicare and put them
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Nov 6, 2013
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health care costs, enable more people to be covered together with reforms of medicaid and perhaps even medicare to make sure that people have true access to health care coverage and not just a hollow promise. at some point even the most ardent advocates for obamacare have to concede that it is broken beyond compare -- repair. and i have to say that i think time is not on obamacare's side because each day brings out a new revelation of more and more problems, and even some of our colleagues who voted in a party-line vote for obamacare and who voted o in a party-line vote against any opportunity to reform obamacare are saying, hey, maybe we need to reform it. senator mary landrieu has introduced a bill saying that we ought to enforce in law the president's promise that if you like what you have, you can keep it, which we now know is not true and, indeed, h.h.s. and the administration knew in 2010 that tens of millions of americans who like what they have will not be able to keep their health care bill because of restricted grandfathering provisions. so when the moment comes that democrats and rep
health care costs, enable more people to be covered together with reforms of medicaid and perhaps even medicare to make sure that people have true access to health care coverage and not just a hollow promise. at some point even the most ardent advocates for obamacare have to concede that it is broken beyond compare -- repair. and i have to say that i think time is not on obamacare's side because each day brings out a new revelation of more and more problems, and even some of our colleagues who...
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Nov 25, 2013
11/13
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now medicare is taken care of it. so you would cap all of the people not on medicaid and medicare. you would cap the rates that insurance companies could ask of them and lower the price for all of the people that are inbetweens. i wondered what you thought of that idea. >> kathy, why do you think that is a good idea? >> because i think it it would be a fair way, and it would bring the rates down, and it would be people could make the choice if they didn't want to pay a national sales tax and if they didn't want to they would not by the skis or the new dress or whatever. and it would just -- i think it would lower the rate of people between medicare/medicaid. >> thank you very much. let's see what congresswoman thinks about that idea. >> thank you. well, kathy, i really feel like the affordable care act was important because it focused beyond just medicare/medicaid. medicaid was expanded in the states where you have governors and legislative members that accepted the funds. and we allowed people that slipped in the gaps between qualifying and getting coverage at work. you have a big
now medicare is taken care of it. so you would cap all of the people not on medicaid and medicare. you would cap the rates that insurance companies could ask of them and lower the price for all of the people that are inbetweens. i wondered what you thought of that idea. >> kathy, why do you think that is a good idea? >> because i think it it would be a fair way, and it would bring the rates down, and it would be people could make the choice if they didn't want to pay a national...
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Nov 14, 2013
11/13
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medicare prescription part-d provides prescriptions so senior citizens can stay healthy, independent and strong for as long as possible. and the problem we had, of course, was something called the doughnut hole. it meant out-of-pocket expenses seniors had to pay for their prescriptions. we are closing and filling the doughnut hole so that seniors aren't giving up their life savings in order to have the prescription drugs they need for a healthy life. they want to repeal that. they want to repeal the affordable care act. i'm waiting for the first republican senator to come to the floor and say seniors ought to pay more for their prescription these need under medicare, because that's the result of repealing the affordable care act. now, let me just also say this. life experience tells us several things. first, premiums on health insurance go up with some frequency. we're trying to slow down the rate of growth but they've been going up for a long time. in some markets, for example, when it comes to individual policies people are buying, those have gone up rather dramatically, sometimes
medicare prescription part-d provides prescriptions so senior citizens can stay healthy, independent and strong for as long as possible. and the problem we had, of course, was something called the doughnut hole. it meant out-of-pocket expenses seniors had to pay for their prescriptions. we are closing and filling the doughnut hole so that seniors aren't giving up their life savings in order to have the prescription drugs they need for a healthy life. they want to repeal that. they want to...
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Nov 30, 2013
11/13
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for what it costs the government to supply medicare. what are the costs of government to supply medicare if you take the medicaid budget and divided by the number of people it is about $802 a month. that is a huge amount of money. if we put medicare on the exchanges and let people buy into it we could give people the same subsidy. it's sort of already set up to do that, and that would be a way of letting the private insurance companies who believe that the government is an efficient to compete and we will see what happens, so that is how i sort of settled at the conundrum in my own head. i think it would be a good thing to do. >> how do you feel your book will affect the medical world like everywhere across the world now? >> well, there is a whole percolating thing happening and it's not just in medicine because one of the things about my book is it's not just about medicine that people recognize it is about style. whether we are teachers or lawyers or how we live and what is a value to us. you don't need very much to be happy and once
for what it costs the government to supply medicare. what are the costs of government to supply medicare if you take the medicaid budget and divided by the number of people it is about $802 a month. that is a huge amount of money. if we put medicare on the exchanges and let people buy into it we could give people the same subsidy. it's sort of already set up to do that, and that would be a way of letting the private insurance companies who believe that the government is an efficient to compete...
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Nov 15, 2013
11/13
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just like your predecessor is that medicare is a terrible idea and that is what this is about. we are going to make history here. we were going to fix the problem and there will be more of that. because that is what happens. .. our children will have a brighter future. and i'm just here to say i stand with those who want progress. i'm not going to tear something down like they want to do and go right back to where we were before, with parents like these having to choose between feeding their families and giving their kids health care. thank you, and i yield the floor. a senator: mr. president? the presiding officer: the senator from connecticut. mr. murphy: thank you, mr. president. thank you, the senator from california for telling the stories of people in california which are not unlike the stories in connecticut, an exchange that is working. a flood of people signing up way above expectations from where we originally thought the numbers would be. would be. >> i thank you as well for pointing out what is the reality, which is that over 40 # times, republicans in the house of
just like your predecessor is that medicare is a terrible idea and that is what this is about. we are going to make history here. we were going to fix the problem and there will be more of that. because that is what happens. .. our children will have a brighter future. and i'm just here to say i stand with those who want progress. i'm not going to tear something down like they want to do and go right back to where we were before, with parents like these having to choose between feeding their...
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Nov 7, 2013
11/13
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under the leadership of president bush number 2 the medicare drug benefit. now, a number of us didn't like that. we thought it didn't go far enough and should have been done differently. but it passed this body and became the law of the land. it was difficult to get that up and running. but, mr. president, we did not come to the for that and say, get rid of this bill. we believed, as imperfect as it was, it was the beginning of building support for doing something about health care in america. so i wish that my republican colleagues would do something constructive regarding health care. we've not heard one positive remark about what they would do to change what we have already done. so i think we would all be better off if that in fact were the case. mr. president, this legislation is working and it'll work even better when we get this web site deal worked out. there are people in nevada, there are people in new jersey, there are people in indiana, there are people all over america today who are benefiting as a result of what happened four years ago here in
under the leadership of president bush number 2 the medicare drug benefit. now, a number of us didn't like that. we thought it didn't go far enough and should have been done differently. but it passed this body and became the law of the land. it was difficult to get that up and running. but, mr. president, we did not come to the for that and say, get rid of this bill. we believed, as imperfect as it was, it was the beginning of building support for doing something about health care in america....
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Nov 19, 2013
11/13
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it, but -- >> and since chronic care counts for such a large percentage of spending particularly in medicare, does that count as elective or not? one would think that if you're taking a preventive drug or going through some sort of service to keep you from worsening in your diabetes, that that would not necessarily be elective. >> well -- >> could you apply that, apply reference pricing to those kinds of things as well? >> so in the kroger program on the pharmacy side, it's any script in those four categories of drugs. on the medical side with the high-tech imaging, we don't do target pricing for children. although we're finding that what's happening with our associates and their family members who are over the age of 18, they're starting to ask questions when their children need an imaging service. so that's good. and we're also not doing it on emergent services. so don't really call it elective, right in you're getting an mri or a ct scan and it's not a an emergency, target pricing's going to apply. >> david, do you have something to add on that? several people are interested in the applic
it, but -- >> and since chronic care counts for such a large percentage of spending particularly in medicare, does that count as elective or not? one would think that if you're taking a preventive drug or going through some sort of service to keep you from worsening in your diabetes, that that would not necessarily be elective. >> well -- >> could you apply that, apply reference pricing to those kinds of things as well? >> so in the kroger program on the pharmacy side,...
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Nov 1, 2013
11/13
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i don't know if he wants to drawn people receiving student loans, who are receiving, you know, medicare or who are beneficiaries of cancer research. people are getting food stamps, kids in head start, are they all in the bathtub to be drowned too? it's a glib phrase, but as we learn recently when they shut down, and as we see repeatedly, you know, there's a lot of people in america who benefit and depends upon government services, and the idea of making it smaller for the sake of making it smaller, you know, appeals, i think, to folks who may have been in the av and libertarian club in high school, but, you know, that's not the way the world works, and it's, you know, not the way i think most americans see the government. they don't like big government. you know, they don't like the idea of big government, but they want it to be active and provide a pretty healthy and robust social safety net. >> we're talking with the washington bureau chief of mother jones. mother jones, how long has you have a washington bureau and how long have you been the chief? >> guest: they started the bureau a
i don't know if he wants to drawn people receiving student loans, who are receiving, you know, medicare or who are beneficiaries of cancer research. people are getting food stamps, kids in head start, are they all in the bathtub to be drowned too? it's a glib phrase, but as we learn recently when they shut down, and as we see repeatedly, you know, there's a lot of people in america who benefit and depends upon government services, and the idea of making it smaller for the sake of making it...
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Nov 24, 2013
11/13
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now medicare is taken care of it. so you would cap all of the people not on medicaid and medicare. you would cap the rates that insurance companies could ask of them and lower the price for all of the people that are inbetweens. i wondered what you thought of that idea. >> kathy, why do you think that is a good idea? >> because i think it it would be a fair way, and it would bring the rates down, and it would be people could make the choice if they didn't want to pay a national sales tax and if they didn't want to they would not by the skis or the new dress or whatever. and it would just -- i think it would lower the rate of people between medicare/medicaid. >> thank you very much. let's see what congresswoman thinks about that idea. >> thank you. well, kathy, i really feel like the affordable care act was important because it focused beyond just medicare/medicaid. medicaid was expanded in the states where you have governors and legislative members that accepted the funds. and we allowed people that slipped in the gaps between qualifying and getting coverage at work. you have a big
now medicare is taken care of it. so you would cap all of the people not on medicaid and medicare. you would cap the rates that insurance companies could ask of them and lower the price for all of the people that are inbetweens. i wondered what you thought of that idea. >> kathy, why do you think that is a good idea? >> because i think it it would be a fair way, and it would bring the rates down, and it would be people could make the choice if they didn't want to pay a national...
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Nov 15, 2013
11/13
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she received a letter telling that she and her husband no longer could keep their medicare advantage plan. it was terminated. so they found another plan, much higher cost, much higher premium, much higher deductible. cynthia from la fee yet, indiana, i' i am i am-employed d purchase health care separately. i am a single parent with a child in high school. i was given -- my plan was canceled and i was given an estimate for a replacement plan almost double of what i'm paying today. mr. president, you have not kept your promises for seniors. you have not kept your promise to single working mothers. you have not kept your promise to families. you've not kept your promise to the people that i represent. how can americans trust that this government takeover will work if you can't keep your promises to the american people? a senator: mr. president? the presiding officer: the senator from north dakota. h.o.v. in north dakotmr. hoevena we've got a lot of farmers and ranchers. thethey run a small business and they're being hit very hard by obamacare, like other small businesses across this cou
she received a letter telling that she and her husband no longer could keep their medicare advantage plan. it was terminated. so they found another plan, much higher cost, much higher premium, much higher deductible. cynthia from la fee yet, indiana, i' i am i am-employed d purchase health care separately. i am a single parent with a child in high school. i was given -- my plan was canceled and i was given an estimate for a replacement plan almost double of what i'm paying today. mr. president,...
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Nov 1, 2013
11/13
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investigation and by which agencies make national suitability determinations to grant or revoke systems believe medicare risk. comprised of military and civilian contractor personnel we eat work to reach to the process are applied to all individuals with federal facilities, and networks were classified in the consistent manner. this affects the first to protect no less when it is for formed by contractors to an employee's. of men and women make up the force our no less patriotic fax many have had careers in the armed forces. we have made security clearances in an end we need to do more in 2004 of congress pass the terrorism prevention act so all agencies have to prevent but we have this is a limit the schools every quarter since all maintaining this clearance process with that backlog has been eliminated. m4 the executive branch reform efforts extend beyond the time vegas missiles to establish enterprise technology standards. in to be accountable to the president. as a marker of the sixth african progress is made. however we recognize that of recent events to intensify efforts to strengthen and improve
investigation and by which agencies make national suitability determinations to grant or revoke systems believe medicare risk. comprised of military and civilian contractor personnel we eat work to reach to the process are applied to all individuals with federal facilities, and networks were classified in the consistent manner. this affects the first to protect no less when it is for formed by contractors to an employee's. of men and women make up the force our no less patriotic fax many have...
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Nov 9, 2013
11/13
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that would happen if there is a long-term solution that we can arrive at between social security and medicare including tax reform. i am so pessimistic but i know congressman ryan is working very closely with patty murray of the senate budget committee to get in that direction and. it is a tough row to hoe. >> the mercedes benz superdome in new orleans built entirely at public expense after hurricane katrina, had badly damaged, when it posted football games again it was a national field good story but the public paid for all repairs the league play in a token amount the public is invested $1 billion of the mercedes benz superdome and the man who owns the door lints states keeps almost all revenue generated. most people don't understand this is taking place they feel there is nothing they can do about it that it is based on insider diesel -- deals and it is. the last time there was a vote in miami last year whether to use public money to renovate where the miami dolphins play and the citizens voted against it. they got to vote. >> thank you, shuja. thank you all for coming. we don't want to br
that would happen if there is a long-term solution that we can arrive at between social security and medicare including tax reform. i am so pessimistic but i know congressman ryan is working very closely with patty murray of the senate budget committee to get in that direction and. it is a tough row to hoe. >> the mercedes benz superdome in new orleans built entirely at public expense after hurricane katrina, had badly damaged, when it posted football games again it was a national field...
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Nov 19, 2013
11/13
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subsidies $1 billion went out from 1999 to 2005, social security $100 million in the last couple of years, medicare $77 million in the last two years and housing benefits $13 million in 2008. any perspective on those numbers? >> guest: you will find people saying that those are small numbers in the role of the federal government. these numbers are really big in the government pays a lot of money to a lot of people said these numbers in perspective are small but the dead should not be getting anything. there's a lot of money spent on top of the money he described that goes into these payments and a lot of money spent trying to get back very their auditors and checksum secondary checks, there are court cases filed against people who steal benefits of having these mistakes in the system not only cost money that goes out but also the extra effort required to get some of it back. >> host: those gory guesses david farenthold a reporter for the "washington post." we will put the phone numbers on the bottom the screen. there are separate lines for democrats, republicans and independents. >> guest: choices
subsidies $1 billion went out from 1999 to 2005, social security $100 million in the last couple of years, medicare $77 million in the last two years and housing benefits $13 million in 2008. any perspective on those numbers? >> guest: you will find people saying that those are small numbers in the role of the federal government. these numbers are really big in the government pays a lot of money to a lot of people said these numbers in perspective are small but the dead should not be...
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Nov 16, 2013
11/13
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. >> a lot of white medicare recipient wouldn't be happy. >> the weird issue, i think, a lot of us still view older -- somehow there's too many people in washington that think older voters are fdr. there's fdr democrat. it's a base republican vote now. seniors are a base republican vote. our way too early poll of christie and hilary. if you want to take a reminder -- one of the only three groups that christie lead hillary was on seniors. it was a republican group now, and so i think you're right, john. i think republicans are afraid of turning them off. i want to go back to 2016 and way too early poll in a moment. i want to talk about social -- because again, when we started covering politics, social issues were murder doctor democrats. now they're offensive weapons. i want you to look at where there is heading and think ten years in the future will gay marriage be legal in every state. and will marijuana be legal in every state? >> you look at survey of millennial voters. they're not like the older siblings or parents or anything. in the sense they're not anti-government like conservati
. >> a lot of white medicare recipient wouldn't be happy. >> the weird issue, i think, a lot of us still view older -- somehow there's too many people in washington that think older voters are fdr. there's fdr democrat. it's a base republican vote now. seniors are a base republican vote. our way too early poll of christie and hilary. if you want to take a reminder -- one of the only three groups that christie lead hillary was on seniors. it was a republican group now, and so i think...
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Nov 18, 2013
11/13
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she will have to explain how it's okay to take the 760 billion out of medicare and put it into medicaid. she's going to be an owner of obamacare. she was an obama bot. they are all lining up and going in the same direction, same program over and over. so she's going to have -- there's a reason she didn't win the governorship and we intend to make this a very big race. >> and retirement? >> retirement, yes. as chairman, no one ever likes to have retirement on their watch. it's a natural evolution. i feel pretty good about where we're at. you never want any, you don't want an open seat but in most cases i think we're in pretty good shape. again i would rather the us and them even without the retirements. we have more members. they've got to go win on red territory. they've got to go pick up seats that romney carried. and i think they've got a big uphill climb to do it. but we've got to be on game and on message, and have the right people in the right places. >> actually two questions. one sort of it was on a number of questions you've had about governing, but in some ways you've got this
she will have to explain how it's okay to take the 760 billion out of medicare and put it into medicaid. she's going to be an owner of obamacare. she was an obama bot. they are all lining up and going in the same direction, same program over and over. so she's going to have -- there's a reason she didn't win the governorship and we intend to make this a very big race. >> and retirement? >> retirement, yes. as chairman, no one ever likes to have retirement on their watch. it's a...
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Nov 28, 2013
11/13
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he ushered in the grateful side not only of the civil rights bills, the voting rights bill, medicare and medicaid, we got the fair housing act during his administration. as high regard and that's about respect of what he did. of the day that president o bark about was elected i was at doctor king's church on the old church that the new church speaking when i saw the estate of pennsylvania go for him i knew then that he was on his way to getting elected president. i jumped so high i didn't think that my feet were going to touch the floor. and i started crying and a reporter asked me that evening we noticed you were crying so much. were they tears of happiness, tears of joy. what are you going to do your crying so much tonight what are you going to do when he is inaugurated and you come to washington? i said well if i have tears left i will cry some more. when i was sitting there as he was inaugurated a kept thinking about president kennedy, robert kennedy, president johnson, doctor king, the civil rights workers in mississippi and countless people that never lived long enough to cast
he ushered in the grateful side not only of the civil rights bills, the voting rights bill, medicare and medicaid, we got the fair housing act during his administration. as high regard and that's about respect of what he did. of the day that president o bark about was elected i was at doctor king's church on the old church that the new church speaking when i saw the estate of pennsylvania go for him i knew then that he was on his way to getting elected president. i jumped so high i didn't think...
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Nov 25, 2013
11/13
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it's still going to be a while before the medicare trust fund our research. and so, do it now. accumulate the savings over time. you can do it with a combination of revenue increases, slowing growth of the future benefit increases. that's what we did in 1983 when we're faced with problems of social security. we need to deal with it now because if you wait until then, they will be more limited in much harsher. for younger people, that's the other reason. i worry about my kids paying for all this if we don't start dialing it back. we are not investing enough long-term and near futures, had this horrible problem of short-term assam, where we'll make do with problems right in our face and we don't get smart and deploy federal dollars in a way that make long-term strategic sense. we fund the tax code, get rid of the special benefits. >> one is the way investment in chemistry day, right click >> absolutely. personal and corporate for personal i would get rid of preferential treatment of capital gains. there's no reason why somebody who has earned the laborer -- earned your money thro
it's still going to be a while before the medicare trust fund our research. and so, do it now. accumulate the savings over time. you can do it with a combination of revenue increases, slowing growth of the future benefit increases. that's what we did in 1983 when we're faced with problems of social security. we need to deal with it now because if you wait until then, they will be more limited in much harsher. for younger people, that's the other reason. i worry about my kids paying for all this...
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Nov 7, 2013
11/13
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we should have offset the costs of the prescription drug plan, medicare part-d, but actually it's worked better than any of us thought it would because it's not a government takeover but it created a competition between competing prescription drug companies who had to compete based on quality and price. the result is the price has gone down roughly 30% under projected costs, under projected costs when it was passed. that's the kind of transparency and choices that are produced from quality information that people -- that leaves the choices to people individually and not gives them to government. and, yes, we ought to crack down on frivolous medical malpractice lawsuits. we've seen in texas that bringing -- reducing the -- the costs of frivolous medical malpractice lawsuits in turn helps protect against defensive medicine, where doctors make decisions, clinical decisions, based not on their best judgme judgment, medical judgment, but based on their aversion to litigation risks. and we ought to use high-risk pools to ensure that people with preexisting conditions can get covered. this is o
we should have offset the costs of the prescription drug plan, medicare part-d, but actually it's worked better than any of us thought it would because it's not a government takeover but it created a competition between competing prescription drug companies who had to compete based on quality and price. the result is the price has gone down roughly 30% under projected costs, under projected costs when it was passed. that's the kind of transparency and choices that are produced from quality...